President

Dr. Mahesh Gupta+91 94264 99922m99922g@yahoo.com

Hon. Secretary

Dr. Phagun Shah+91 98254 31233phagunshah@gmail.com

President - ElectDr. Dilip Gadhavi98980 47505

Jt. SecretaryDr. Jignesh Deliwala+91 98250 44819

TreasurerDr. Anil Mehta+91 98253 16970

Vice President Dr. Kiran Desai98250 87144

Managing Committee Ex-Officio

Dr. Anjana ChauhanDr. Archna ShahDr. Geetendra SharmaDr. Kalpesh Trivedi

Dr. Kamini PatelDr. Kaushik VyasDr. Mukesh PatelDr. Sunil Shah

Dr. Dipesh DholakiyaDr. Hemant Bhatt

www.ahmedabadobgyn.org

AHMEDABAD�OBSTETRICS�AND�GYNAECOLOGICAL�SOCIETY��NEWS�LETTER������������������������������JUNE�2013

Theme :

Knock the "t" off the can't

1

Editor’s messageDear Friends,Season’s greetings!

Many of you must be relaxing or enjoying vacation at domestic or international tourist places with friends & family. Some may be preparing for the career of their kin’s as result season is also going on. Hearty congratulations to the children of AOGSsians who passed with flying colors.

Friends, at AOGS, Team AOGS is busy planning & organizing CMEs, workshops & family entertainment programs under the vibrant leadership of the President Dr. Mahesh Gupta & Hon. Secretary Dr. Phagun Shah.

First time in the history of AOGS & AMA a joint program was organized on Gynec Update th

on 19 may 2013 at hotel Metropole. The program was well attended by 174 delegates of both the organizations. The program was inaugurated by Dr. Harshad Shah, president of All India Radiologist Association & Dr. Jitubhai Patel, ex MLA & President elect of IMA (Headquarter). The program was very well organized & well executed. Kudos to coordinators Dr. Kiran Desai & Dr. Jignesh Shah (A.M.A).

thOn the same day i.e.19 may, the first of many surgical workshops planned in the different areas of Ahmedabad during the year to enhance the surgical skills & capacity to tackle the emergencies effectively by our members was organized at Anand Surgical Hospital, Bapunagar. Thirty Five members attended the workshop. It was a grand success. Congratulations to Dr. Mukesh Savalia & Dr. Mukesh Patel for successfully organizing the workshop. If any member wants to organize such workshop in their area please contact Dr. Mukesh Savalia.

The same enthusiasm of first two months of the new year continues in June & July. nd

On 2 June a laparoscopy conference is organized in association with IAGE at Hotel th

St. Laurn. A surgical demonstration workshop on cadaver is organized on 17 June at V.S. hospital. Perhaps first time in the history of AOGS. Please register immediately at AOGS office for the workshop as limited seats are available.

Above all “JARA HATKE” family entertainment program is planned on the evening of thSunday, 7 July with Bumper Housie & Gala Dinner. Prizes worth more than 1,00,000

Rupees to be won. So please gear up for the program.

A midterm SOGOG conference organized by AOGS in association with rd thUdaipur society is held at Sheraton, Udaipur, on 3 & 4 August, 2013.

So friends be charged. Don’t let the sadness of your past & your fear of the future ruin your happiness today. Stay positive because today could be the best day of your life.

Editorial team, AOGS

2

Workshop On Cadaveric Dissection

Venue : Cadaveric Lab, VS Hospital, Ahmedabad.

thDate : 17 June 2013, Monday

Program Details

Time

09.00 am to 09.30 am Breakfast

09.30 am to 10.00 am Inauguration

10.00 am to 02.00 pm Demonstration of :

(a) TOT & Obturator foramen anatomy - Dr. Vineet Mishra

(b) Perineal Anatomy - Dr. Ajit Rawal

( c) Posterior Compartment of Pelvis - Dr. Mahesh Gupta

Posterior compartment dissection with

common Iliac & ureteric dissection.

Avascular spaces of pelvis.

(d) Bladder & Intestinal injury repair - Dr. Kaushik Shah (Surgeon)

2.00 pm onwards Lunch

Subject

Co-ordinators : Dr. Mukesh Savalia, Dr. Kalpesh Trivedi

Hall Co-ordinator : Dr. Kiran Desai

Two Credit Points allotted by GMC for this workshop

If swimming is a good exercise to stay FIT, Why are whales FAT ??

Registration Fees : Rs. 1000/-

3

AOGS & Food & Drug Committee FOGSI

Program Details

Time

08.30 pm to 08.50 pm Oral Care in Pregnancy - Dr. Cherry Mishra (Dental Student)

08.50 pm to 09.10 pm Assessment of first trimester markers - Dr. B. I. Patel

09.10 pm to 09.30 pm PPH - Dr. Kanan Yelikar (Aurangabad)

09.30 pm to 09.50 pm Measurement of Nuchal Translucency;

Why, When & How ? - Dr. J. P. Shah

09.50 pm to 10.10 pm PCPNDT Act - Recent updates - Dr. Nilam Patel (CDHO)

10.10 pm to 10.30 pm HCG regression curve :

Key to managing GTN - Dr. Ava Desai

10.30 pm onwards Dinner

Subject

Venue : Hotel St Laurn, Ashram Road, Ahmedabad.

thDate : 26 June 2013, Wednesday

Co-ordinators : Dr. Raj Iyenger, Dr. Dhaval Shah

Chairpersons : Dr. Vijay Shah, Dr. Harshad Shah

Program associates : Medley Pharma, Pulse Pharma, German Remedies (Gynova), Svizera Healthcare, US Vitamin Ltd.

One Credit Point allotted by GMC for this program

Why is the place in a stadium where people SIT, called a STAND ?

4

Mammography - Social Care and Cause

Dr. Shital Agrawat (Vaidya) 9478600929

Dr. Shashikala Sahu 9824277494

Dr. Suvarnaben 9825233616

Dr. Krupa Trivedi 9898468038

Dr. Lalita Kothari 9228418797

Dr. Nidhi Saxena 9327115420

Dr. Kokila Patel 9427711575

Dr. Jayshree Sheth 9879791640

Name Number

Dr. Shilpa Gajjar 9824045703

Dr. Anila Kapadia 9824039227

Dr. Neeru Shah 9327049323

Dr. Lata Trivedi 9925042824

Dr. Bina Patel 9327031131

Dr. Bela Patel 9825160599

Dr. Neeta Mishra 9924330277

Name Number

Co-ordinators Mobile List

CHIEF CO-ORDINATORS

The report will be delivered at AOGS. The copy of report can be obtained from AOGS office a�er a week, of the date of Screening.

Dr. Anjana Chauhan+91 9327064981

Dr. J. D. Patel +91 9825037891

Mammography Screening

Program has been specially

designed for members of

AOGS or their spouse. The

program starts from July

2013.

The member should contact

local Co-ordinators or the

Chief Co-ordinators for their

appointment; for ge�ng

mammography done.

Yo u h av e t h e o p �o n t o

choose from the following :

USMANPURA IMAGING CENTRE30, Ambica Society, Near Kalol Nagrik Bank, Opp. Usmanpura Garden, Usmanpura, Ahmedabad-380013.Phone : 079-27552555 / 666 / 777

ACCUVIEW DIAGNOSTICSBlock-B, Neelkanth Park-II,Nr. Bsnl Telephone Exchange, Ghoda Camp Road, ShahibaugAhmedabad-380004.Phone : 079-22682818

SANYA DIAGNOSTIC (RADIOLOGY)3, Ground Floor, Shivalik Ishan,Near Reliance Petro Pump,Near C. N. Vidhyalay, Ambawadi , Ahmedabad-380015.Phone : 079-26401704/05, 40306615

S I D D H I V I N AYA K I M A G I N G CENTERSiddhivinayak Hospital,Behind Kakariya Lake, Maninagar,Ahmedabad-380008.Phone : 09327052659, 079-25451821

DR. SONAL PANCHALNAGORIS INSTITUTE OF INFERTILITY1st Floor, Kedar Building,Opp. Krupa Petrol Pump,Nr. Parimal Garden, Ahmedabad-380006.Phone : 079- 26401090, 26402090

DR. GHANSHYAM DABHIShivam X ray Clinic,Opp. Mehsana Society,Nava vadaj, Ahmedabad-380013.

Why is that everyone wants to go to HEAVEN, but nobody wants to DIE..

AOGS will bear the expenditures of Mammography.

5

President’s Pet Project (Surgical Workshop)

thThe first regional Surgical Workshop was conducted on 19 May, 2013, Sunday, at Anand

Multispeciality Hospital, (Dr. Mukesh Patel) Bapunagar.

The active team of AOGS congratulates both the co-ordinators, Dr. Mukesh Savalia &

Dr. Mukesh Patel along with their team, for working very hard to make this workshop a big

success.

Inauguration was done by dignitaries like Dr. Bakul Leuva, Dr. Mahesh Gupta, Dr. Dilip Gadhavi &

Dr. Anil Mehta.

The conference was attended by thirty five delegates from Naroda area. Total five surgeries

were performed and relayed live in the auditorium.

Two way audio video transmissions, was a very effective means of communication.

Extensive discussion continued between the audience & operating surgeon & lots of practical

tips were given by the surgeons, which were appreciated by all the delegates.

Nondescent vaginal hysterectomy & Vaginal hysterectomy were demonstrated by Dr. Vyomesh

Shah (A renowned Vaginal Surgeon from Gujarat)

Dr. Mahesh Gupta demonstrated LSCS by Misgav Ladach technique & procedures for tackling

PPH, like uterine artery ligation, Internal Iliac artery Ligation, B-lynch techniques were shown.

Dr. Kaushik Vyas demonstrated Internal Iliac Artey Ligation in previous two LSCS case.

Dr. Anil Mehta demonstrated Total Lap Hysterectomy.

AOGS active team once again congratulates the first regional workshop for a grand success.

We wish them good luck for their future endeavours.

It added a lot of confidence in the delegates & the main purpose of this workshop is to sharpen

the skills & the procedures look user friendly to the delegates so that in most of the cases of

emergency, the situation can be tackled without getting panicked.

We have initiated this program as a regular feature where the faculty will demonstrate those

procedures which are not a part of regular teaching during the post graduation.

We request the members to organise this kind of surgical workshop at their hospital, with all

kind of assistance from AOGS.

Shall I say that there is racial discrimination even in chess... As the WHITE piece is moved FIRST...

6

Family Programon

thSunday, 7 July 2013

6.00 pm onwards

VenueVenueVenuePrakash High School, Nr. Sandesh Press,

Bodakdev, Ahmedabad.

Prizes of more thanPrizes of more than

Rs. 1 lakh to be won.Rs. 1 lakh to be won.

Prizes of more than

Rs. 1 lakh to be won.

Bumper HousieBumper HousieBumper Housieat 6.00 pm

Dinner : 8.30 pm.

If money doesn't grow on TREES, then why do banks have BRANCHES ?

7

Member Corner

Why do you still call it a BUILDING, when its already BUILT ?

Congratulations Dr. Mahesh Gupta & Dr. Phagun Shah.Keep up the good work

- Dr. Sujata Mishra (Cuttack) & Dr. Roza Olyai (Gwalior)

Nice and different outlook of AOGS bulletin Congratulations- Dr. Manish Banker (Ahmedabad)

zkp. {nuþ økwÃíkk yLku zkp. VkøkwLk þkn Mkrník AOGS Lke Lkðe fr{xeLkk MkÇÞkuyu¾qçk ¾qçk yr¼LktËLk AOGS çkw÷uxeLk Lkwt Lkðw YÃk ¾qçk ykf»kof Au.

- zkp. rþhe»k LkkÞf (y{ËkðkË)

Midterm SOGOG Conference is hosted by

Ahmedabad OBGYN Society & is to be held at Udaipur.

Conference Reg. fees

Rs. 3000/- only

[If include Reg. fees (+)

accommodation (+) all meals]

Reg. fees

accompanying person

Rs. 2500/- only

[It includes

accommodation + All meals]

Children below five years : free

Children above five years :

Accompanying person

charges will apply.

* All charges are "Ex Udaipur" charges - Hurry up to avoid disappointment.

8

For more details contactDr. Mahesh Gupta President AOGS +91 94264 99922

Dr. Phagun Shah Secretary AOGS

+91 98254 31233

AOGS office : 079-26586426

If its true that we are here to HELP others, What are others HERE for ?

Dear Members,Requesting you to please forward the names of your kids who have passed the

th thboard exams of Std X or XII this year.

Please send a photocopy of the marksheet along with the details.

Send the details at AOGS office or AOGS website, in next fifteen days.

Venue : Hotel Sheraton ( 5 Star)

Important Announcement

rd thDate : 3 & 4 August, 2013

Detail program will follow soon.

9

The Gujarat Govt. has Passed a bill to prohibit violence against medicare service persons and damage or loss of property in medicare service institutions and for the matters connected therewith and incidental thereto.

This Act may be called the Gujarat Medicare Service Persons and Medicare Service Institutions (Presentation of Violence and Damage or Loss of Property) Act, 2012.

Medicare service persons" in relation to a medicare service institution shall include,-(I) Registered Medical Practitioners (including a person having provisional registration) working in a medicare service institution;(ii) Nurses registered under the Gujarat Nurses, Midwives and Health Visitors Act, 1968;(iii) Auxiliary Nurse and Mid-wife;(iv) Trained Dai;(v) Medical student;(vi) Nursing student;(vii) Para Medical staff and other staff or employee directly of indirectly employed by a medicare service institution for providing required services

On receipt of a complaint of an act of violence to Medicare Service persons working in the Medicare Service Institution and damage or loss of Property to Medicare Service persons working in the Medicare Service Institution and damage or loss of Property to Medicare Service Institution, the Competent Authority shall prepare a report in "Form 1" and submit the same to the District Magistrate and forward a copy thereof to the police officer in charge of the police station having the jurisdiction under which the offence is committed.

For further details please visit AOGS website.

The Gujarat Government Gazette

EXTRAORDINARY PUBLISHES BY AUTHORITY

Vol. LIII Wednesday, April 11, 2012/CAITRA 22, 1934

If you aren’t supposed to DRINK and DRIVE... Why do bars have PARKING lots ?

10

Global Consensus Statement on MenopausalHormone Therapy

The past 10 years saw much confusion regarding the

use of menopausal hormone therapy (MHT). New

evidence challenged previously accepted clinical

guidelines, especially on aspects of safety and

disease prevention. This led to many women

unnecessarily being denied the use of MHT. Detailed

revised guidelines were published and regularly

updated by the major reg ional menopause

societies. The confusion was initially escalated by

s ign i fi cant d i fferences amongst pub l i shed

guidelines. In recent revisions, the differences have

become much less. In view of this, The International

Menopause Society took the initiative to arrange

around-table discussion, in November 2012,

between representatives of the major regional

menopause societies to reach consensus on core

recommendations regarding MHT. The aim was to

produce a short document in bullet-point style, only

c o n t a i n i n g t h e p o i n t s o f c o n s e n s u s . I t i s

acknowledged that, in view of the global variance of

disease and regulatory restrictions, these core

recommendations do not replace the more detailed

and fully referenced recommendations prepared by

individual national and regional societies. This

document serves to emphasize international

co n s e n s u s re ga rd i n g M H T a n d i s a i m e d at

empowering women and healthcare practitioners in

the appropriate use of MHT.

MHT i s the most effective t reatment for va s o m o t o r sy m p t o m s a s s o c i a t e d w i t h

menopause at any age, but benefi ts are more

likely to outweigh risks for symptomatic women

before the age of 60 years or within 10 years

after menopause. MHT is effective and appropr iate for the prevention of osteoporosis-related fractures in

at-risk women before age 60 years or within 10

years after menopause. Randomized clinical trials and observational data as well as meta-analyses provide evidence

that standard-dose estrogen-alone MHT may

decrease coronary heart disease and all-cause

mortality in women younger than 60 years of

age and within 10 years of menopause. Data on

est rogen p lus progestogen MHT in th i s

population show a similar trend for mortality but

in most randomized clinical trials no signifi cant

increase or decrease in coronary heart disease

has been found.Local low-dose estrogen therapy is preferred for women whose symptoms are limited to vaginal

d r y n e s s o r a s s o c i ate d d i s co mfo r t w i t h

intercourse.E s t ro g e n a s a s i n g l e sy s t e m i c a g e n t i s appropriate in women after hysterectomy but

additional progestogen is required in the

T. J. de Villiers , M. L. S. Gass * , C. J. Haines † , J. E. Hall ‡ , R. A. Lobo * * , D. D. Pierroz † † and M. Rees ‡ ‡MediClinic Panorama and Department of Obstetrics and Gynecology, Stellenbosch University, Cape Town, South Africa; * Department of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH, USA; † Department of Obstetrics and Gynecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR; ‡ Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; * * Department of Obstetrics and Gynecology, Columbia University, New York, NY, USA; † † University of Geneva, Switzerland; ‡ ‡ Reader Emeritus, University of Oxford, UK

The following Consensus Statement is endorsed by The American Society for Reproductive Medicine, The Asia Pacifi c Menopause Federation, The Endocrine Society, The European Menopause and Andropause Society, The International Menopause Society, The International Osteoporosis Foundation and The North American Menopause Society.

This Statement is being simultaneously published in the journals Climacteric and Maturitas , on behalf of the International Menopause Society and The European Menopause and Andropause Society, respectively.

Correspondence: T. J. de Villiers, MediClinic Panorama, Parow 7500, South Africa

© 2013 International Menopause Society and Elsevier Inc.DOI: 10.3109/13697137.2013.771520

If all the nations in the world are in Debt, where did all the money go..?

11

presence of a uterus.The option of MHT is an individual decision in terms of quality of life and health priorities as

well as personal risk factors such as age, time

s ince menopause and the r isk of venous

thromboembolism, stroke, ischemic heart

disease and breast cancer. The risk of venous thromboembolism and ischemic stroke increases with oral MHT but the

absolute r isk is rare below age 60 years.

Observational studies point to a lower risk with

transdermal therapy. The risk of breast cancer in women over 50 years associated with MHT is a complex issue. The

increased risk of breast cancer is primarily

associated with the addition of a progestogen to

estrogen therapy and related to the duration of

use. The risk of breast cancer attributable to

MHT is small and the risk decreases after

treatment is stopped.The dose and duration of MHT should be consistent with treatment goals and safety

issues and should be individualized.In women with premature ovarian insuffi ciency, systemic MHT is recommended at least until the

average age of the natural menopause.The use of custom-compounded bioidentical hormone therapy is not recommended. Current safety data do not support the use of MHT in breast cancer survivors.

These core recommendations will be reviewed in

the future as new evidence becomes available.

This Statement is being simultaneously published in the journals Climacteric and Maturitas , on behalf of the International Menopause Society and The European Menopause and Andropause Society, respectively.

Correspondence: T. J. de Villiers, MediClinic Panorama, Parow 7500, South Africa

© 2013 International Menopause Society and Elsevier Inc.DOI: 10.3109/13697137.2013.771520

Authors/members of the Consensus Panel The International Menopause Society: Tobie J. de Villiers, President (MediClinic Panorama and Department of Obstetr ics and Gynecology, Stellenbosch University, Cape Town, South Africa); David F. Archer, Treasurer (Jones Institute, Eastern Virginia Medical School, Norfolk, VA, USA); Rodney J. Baber, General Secretary (Sydney Medical School, The U niversity of Sydney, NSW, Australia); Mary Ann Lumsden,Board member (Reproductive & Maternal Medicine, School of Medicine, University of Glasgow, Glasgow, UK); Amos Pines, Director of Education and Development (Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel); The Asia Pacifi c Menopause Federation: Christopher J. Haines, Honorary Secretary (Department of Obstetrics and Gynecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR); The American Society

for Reproductive Medicine: Rogerio A. Lobo, Past P re s i d e nt ( D e p a r t m e nt o f O b ste t r i c s a n d Gynecology, Columbia University, New York, NY, USA); The International Osteoporosis Foundation: Dominique D. Pierroz, Science Manager (University of Geneva, Switzerland); The European Menopause and Andropause Society: Margaret Rees, President (Reader Emeritus, University of Oxford, UK); Florence Tremolli è res, Board member (Centre de Menopause, Hopital Paule de Viguier, Toulouse, France); The Endocrine Society: Janet E. Hall, Past President (Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA); The North American Menopause Society: Margery L. S. Gass, Executive Director (Department of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH, USA).

When dog food is new with improved taste, who tests it..?

12

Who copyrighted the copyright symbol..?

13

Can You Cry Under Water.?

14